Jonathan Daniel Mozena
Allergist & Immunologist
511 Park Hill Drive
Fredericksburg
, Virginia 22401-3377
Jonathan Daniel Mozena
Allergist & Immunologist
511 Park Hill Drive
Fredericksburg
, Virginia 22401-3377
(828) 350-2174
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About
Features
Specialties
- Allergist & Immunologist
Languages spoken
- English
Location
First Address
- Jonathan Daniel Mozena
- Po Box 603725
- Charlotte, NC
- Zip : 28260-3725
- Fax : (828) 350-2174
- Phone : (828) 575-2625
Second Address
- Jonathan Daniel Mozena
- 511 Park Hill Drive
- Fredericksburg, VA
- Zip : 22401-3377
- Fax : (540) 372-6920
- Phone : (540) 371-5660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207K00000X | Allergist & Immunologist | 0101239028 | VA |
National Provider Identifier
| NPI | 1093757163 |
|---|---|
| Provider Name | Jonathan Daniel Mozena |
| First Address | Charlotte, NC 28260-3725 |
| Second Address | Fredericksburg, VA 22401-3377 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 17/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 014630A38 | MEDICARE PTAN (01) | VA |
| 1093757163 | (05) | VA |
| 1093757163 | ANTHEM BLUE CROSS (01) | VA |
| 1093757163 | SOUTHERN HEALTH (01) | VA |
| 1093757163 | VIRGINIA PREMIER (01) | VA |
| 1303985 | CIGNA (01) | VA |
| 1689635 | AETNA (01) | VA |
| 302397 | BLUE CROSS (01) | VA |
| 561249571 | SENTARA (01) | VA |
| 561249571 | VIRGINIA HEALTH NETWORK (01) | VA |
| 9767056 | AETNA (01) | VA |
| J063-0005 | CARE FIRST (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.